ARTICLE IN PRESS Clinical Nutrition (2008) 27, 168–169
Available at www.sciencedirect.com
http://intl.elsevierhealth.com/journals/clnu
SHORT REPORT
BMI normogram Mitsuhiko Noda International Medical Center of Japan, Tokyo, Japan Received 3 June 2007; accepted 2 October 2007
KEYWORDS BMI; Normogram; Obesity; Emaciation
Summary I have devised a normogram that allows easy determination of a person’s body mass index (BMI), i.e., by simply drawing a single line on the graph to connect the height and weight. Conversely, the body weight corresponding to an arbitrary BMI may be determined similarly. This normogram is a useful and convenient tool in that it can be printed on a sheet of paper. & 2007 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
Although waist circumference has recently been an another index of obesity in addition to the body mass index (BMI), BMI still remains an important anthropometric index for evaluation of the risk of diseases associated with obesity.1 On the other hand, BMI is also an important marker of emaciation, and it is in fact used in the ESPEN Guidelines on Enteral Nutrition.2 Although BMI can be calculated rather simply by the following formula, a calculator is sometimes needed and some people, especially the elderly, find it difficult to calculate the index: BMI ¼ weightðkgÞ=½heightðmÞ2 . Therefore, I have devised a normogram, shown in Figure 1, that allows easy determination of a person’s BMI, i.e., by simply drawing a single line on the graph to connect the height and weight: the intersection represents the BMI. For another use of this normogram, i.e., to determine the
standard (ideal) body weight, the straight line connecting the height and the BMI of 22 kg/m2 should be extended to the weight axis and the point of intersection represents the ideal body weight. In the same manner, the weight corresponding to an arbitrary BMI may be determined by the relevant BMI value instead of 22 kg/m2 described above. This normogram is more convenient to use than that apparatuses, in that it can be printed on a sheet of paper. I hope that this normogram originally developed by me comes to be used by people working in the field of health and nutrition in the English-speaking world (or areas where English can be understood), not only in Europe, but also in developing countries in Asia and other regions.
Conflict of Interest Tel.: +81 3 3202 7181x5370; fax: +81 3 3207 1038.
E-mail address:
[email protected]
None declared
0261-5614/$ - see front matter & 2007 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved. doi:10.1016/j.clnu.2007.10.001
ARTICLE IN PRESS BMI normogram
17 0
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5’ 1” 5’ 2” 5’ 3” 5’ 4” 5’ 5” 5’ 6” 5’ 7” 5’ 8” 5’ 9” 5’ 10 ” 5’ 11 ” 6ft 6’ 1” 6’ 2” 6’ 3” 6’ 4”
obesity-associated dyslipidaemia: comparing BMI, waist and waist hip ratio. The D.E.S.I.R. Study. Eur J Clin Nutr 2006;60: 295–304. 2. Lochs H, Allison SP, Meier R, Pirlich M, Kondrup J, Schneider S, et al. Introductory to the ESPEN Guidelines on Enteral Nutrition: terminology, definitions and general topics. Clin Nutr 2006;25: 180–6. 3. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004;363:157–63.
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Figure 1 The color area for green, blue, orange and red indicate underweight, normal range, pre-obesity and obesity by WHO classification.3
References 1. Balkau B, Sapinho D, Petrella A, Mhamdi L, Cailleau M, Arondel D, et al. D.E.S.I.R. Study Group. Prescreening tools for diabetes and